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Medical Billing – Isn’t It Time to Avoid These Costly Errors?

As much as your medical center will strive to offer the best patient care, you still must consider it as a business. There are so many elements that can be costly in terms of time and financials and so, it is important that if you are going to avoid making errors within your practice, you have the best staff, the best technology, and processes too. If we look at medical billing and coding, we know that it is, of course, one of the most crucial elements of the medical industry and yet, for so many medical practices, there can be an extraordinary number of costly errors.

 

Many of your health expenses are paid as a result of health insurance and this is why those who are involved in the medical billing processes must be at the top of their game. Too much is at stake for errors to be made. Mistakes can build up too.

 

Accuracy is all-important.

 

Legislation changes constantly but do you have time to keep your finger on the pulse of medical billing? As a healthcare provider, it’s your responsibility to ensure that you and your employees are well-informed and that you meet and uphold the changes in medical standards. Of course, this is not always as easy as it sounds, in fact, at times, it can create longer hours and much more work.

 

After a busy day treating and reassuring your patients, the last thing you may want to deal with is changes to billing legislation. Therefore, it makes sense to have a professional company that you can delegate all billing errors to and who will keep up with important changes. As these people are trained to a high level and, their training is ongoing so to avoid costly mistakes, they have all the capabilities to take this chore off your hands. Plus, they are far more accurate than most people could be. This saves you time and money.

 

What happens when billing is inaccurate?

 

Even with the best of intentions, it is so easy for errors to be made. Unfortunately, the simplest of errors can turn into the most complex of problems to resolve. Ultimately, it leads to your patients potentially being put under financial hardship. It is no surprise when they feel frustrated and unhappy as a result. Of course, mistakes can be made but, if your patient is already under duress and worried about their health, this is just one more problem to deal with it at a time when physically or emotionally, they may not be capable of dealing with it.

 

There are many common errors all of which take time to resolve.

 

  • Wrong data entered
  • Duplicate billing request
  • Insurance coverage unverified
  • Upcoding
  • Undercoding etc.

 

Solutions

 

Why add extra administrative issues to an already busy day? Doesn’t it make absolute sense for this highly-important role to be given to companies who do it so well and who will take the pressure away from you and your team? Ultimately, fewer errors will equate to less stress and enable you to focus on patient care and so, outsourcing medical billing is undoubtedly the way forward.

How Your ASC Can Improve Pain Management Billing?

Ambulatory Surgery Centers (ASCs) or outpatient surgery centers provide same-day surgical care. This may include diagnostic and preventive procedures. However, ASCs may face problems related to physician reimbursement and accurate pain management billing. Staying viable can pose a challenge to ambulatory surgery centers.

If you run an ASC and want to stay competitive and profitable, you need to overcome in-house billing challenges while staying compliant in the changing healthcare landscape.

Here is a quick look at a few strategies that ensure successful reimbursement.

Efficient medical coding

Experienced coders can make a huge difference to your pain management coding. For example, in spinal procedures, they must be able to match the spinal nerves involved in a surgery to the proper code. Advancements in surgery means addition of new instruments and medical products. The coding staff needs to be aware of appropriate coding practices for each new medical device to ensure claim approval. This is easily done at a professional coding and billing service provider since their staff is adequately trained and experienced and stay updated on the latest changes in healthcare.

Physician documentation

Wrong or incomplete documentation and lack of relevant details can cause coding errors and lead to claim denials. So, doctors must include the aim of the procedure and how it is performed.

Stay current with changes

Billing policies vary with carriers. The methodology of pain management reimbursement has drastically changed. The same documentation procedures that may have once been effective can now result in denials. Your medical coding staff should be aware of these changes and updates to each policy’s requirements. Professional medical coding and billing companies can do this easily.

To learn more or to take advantage of the services offered by a professional pain management billing and coding company and behavioral health billing services, call Emerald Health LLC at 855-650-9906 Today.

Medical Billing Specialists – Optimize A List of Questions Before Hiring

 Optimize A List of Questions Before Hiring

As a medical professional with a busy medical practice, you will want to ensure that all your administrative processes work smoothly so that you can focus on the areas of the business most important to you – that of patient care. In the same way that you would interview potential new members of staff, it’s wise to compile a list of targeted questions so to ask any medical billing specialists before hiring. This way, you are more assured of a good fit and as it is an important decision, it will give you peace of mind by doing so.  In many ways, medical billing specialists become an important part of your team even if are not actively employed onsite.

Hiring the right company can make a big difference to your financials as it can ensure that your cash flow is interrupted. This is an important element for all business but it also ensures a healthy bottom line. Each part of a medical centers processes are important but if billing errors are made, this is a costly drain on time and only causes delays before payments are made.

Therefore, you may have many questions but, as a starting point, consider the following:

What qualifications do you have?

Before you sign on the dotted line, it’s a good idea to ask to see company references. If you know someone else who uses the company, this may naturally give you peace of mind, but otherwise, review the website for feedback or, ask for references. Most businesses will not mind.  You also need to consider whether they have an in-depth knowledge of medical codes and that their qualifications are up to date. As legislation changes frequently, it’s important to know that they are proficient. If you specialize in a specific field of expertise, you may wish to check whether they can provide you with the service you need.

What does the service cost?

Understandably this is an important consideration and you need to know whether they charge for a percentage of the charges which have been collected or if it will be a flat rate. You also need to check whether there are any additional fees to be taken into consideration. This may include data conversion, initiation or termination. Find out what is included in the service. If you opt for a cheaper service, you may find that the service is by no means comprehensive. So, less is not always more.

Find out more about how your account will be managed

Check for any frequency of reports and also, what data will be included. You may wish some reports to be customized. Consider their HIPAA compliance plan and whether your patient data is safe. In addition, who will be managing the account? Having a contact name and number should any problems arise is extremely important. It may be a big consideration for you to outsource this aspect of your business to any medical billing specialists so it is understandable that you want to be satisfied that the service will exceed expectations. Also, who do you contact if this person is not available or out of the office?

It’s also worth checking out the company’s website to ascertain the full complement of services available and this will help you to gain the right service for you.

Why Medical Billing Services Make Sense For Your Practice?

If you are a physician who runs a medical practice, you certainly understand the importance of medical billing in your business. Patient care is your number one priority but it could be comprised with in-house medical billing. This is why medical billing services are imperative.

Leave the Medical to the Experts

When you outsource your medical billing and coding to a professional company, you are putting their billing and coding into the hands of experts. They thoroughly understand the medical billing and coding regulations and landscape. With a professional billing company, you don’t have to train your staff regularly for efficient billing.

Save Costs

When you hire a reliable medical billing service, you have experts taking care of your collections and improving your bottom line, while you save on hiring and training employees and installing expensive software.

Save Time

Why spend precious hours training and re-training your staff or arguing with insurance companies for payment, when you can hire a professional medical billing company to do it all for you?

Save Space

Moving from in-house medical billing to outsourcing will also save you a lot of space. You can utilize this space to create more room for equipment or more patient rooms.

Simply put, it makes sense to hire a professional medical billing and coding service rather than doing it in-house.

To learn more or to take advantage of the services offered by internal medicine billing service, call Emerald Health LLC at 855-650-9906 Today. Emerald’s Electronic Medical Records (EMR) Software was designed with a very powerful and simplistic user interface allowing users to quickly find and enter patient data. Ease of use and a minimal learning curve ensures you and your staff can start using the software almost immediately.

7 Surefire Medical Billing Errors That Will Wipe Out Profit

 7 Surefire Medical Billing Errors That Will Wipe Out Profit

There’s no doubt about it, medical billing errors can easily wipe out profit and put a medical practice under severe pressure. It can be costly to your patients too. Miscommunication is common and even more so now with legislation changes that happen all the time. Human error will always occur from time to time but when it damages your business, it needs to be kept to a minimum.

 

 Here are 7 common mistakes:

 

  • Separate billing on charges that should be added together.
  • Duplicate billing. This often occurs when more than one person is involved in the procedure and both send bills out, believing it to be their responsibility.
  • Forms being filled in the wrong. This can be costly to both the patient and the company. Often insurance companies will not pay out if the information is not correct.
  • Upcoding, this is illegal but does happen. A medicine that has been prescribed is billed as a more expensive one and this inflates the bill. This practice would quickly damage any business through a legal process and quickly create a lack of trust from patients.
  • Balance billing mistakes, when an insurance company negotiates a price with a medical billing company, it is important that the practice and the patient are aware of the exact costs covered. This is an area that should be as transparent as possible.
  • Incorrect patient information. This happens very easily when there are several people involved in a patient’s care. Even misspelling the name of a patient can be sufficient for an insurance company to withhold on a claim.
  • Matching treatment to costs. Sounds a bit obvious but, this error is surprisingly common. A patient may have had changes to their medical treatment but these changes, have not been listed on forms. This can again cause delays before insurance companies will settle.

 

Errors in medical billing costs practices across America a staggering $125 billion a year. Even a small mistake will cause an insurance company to refuse to pay and as a result, this means having to resubmit forms and this is costly in both time and money.

 

This can be avoided to a certain extent if health care workers who operate within the admin side of the business are kept up-to-date with the latest company procedures. This is also true of the legislation that is constantly being brought in through a series of changes. It is very important for staff to be aware of them.

These are just extra headaches which pile pressures onto medical health practices. This alone is the reason why many practices swap over to an outsourced company to handle their medical billing. By doing this they, of course, take off the pressure and the costs are often paid for by an increase in profits and staff being able to do what they do best which is, of course, treating more patients. This results in higher confidence levels which are reflected right through the company. There are of course many arguments for and against outsourcing and so, it’s important that you consider what is right for your medical practice. In the main, most people see outsourcing medical billing as the way forward now

How Can EMR Build Better Patient Relationships?

Better Patient Relationships

There are no excuses as to why better patient relationships cannot be obtained with a little forward planning. The first thing to do is to review the current systems that are in place in your medical practice as it is these very procedures and platforms that help build the confidence in both healthcare workers and patients.

 

Electronic medical records are the way forward if we are to judge by the number of practices that are choosing to use these systems. Having all the patient information at hand by the touch of a button is extremely advantageous and speeds up the processes making it efficient, organized and streamlined.  Any doubts that EMR systems prevent therapists from fully engaging with their patients has long been proven wrong. In fact, the opposite is true. It affords doctors and medical staff to spend more quality time with their patients.

 

There are two key points required if you are changing over to an EMR system.

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  • Take time to get comfortable with your new EMR system
  • Customize it to suit your needs

 

Understanding the system completely is vital of course. This takes a little time as you need to understand each system’s individual traits and to comprehend how to utilize it to its best advantages. Once you are fully au-fait with the system and how it works, then, it is time to allow colleagues to do the same. Some may have negative thoughts about new processes preferring the old patient record system, but, most will see this as progress.  For some, the difficulties will be learning a new system as this does take time. It may even add pressure to an already pressured daily schedule. Sometimes, we find it difficult to see the overall goal when under stress. However, once a new EMR system has been learned then, a smoother efficient service becomes apparent and the pressure eases. This always has a knock-on effect on your patients who also see a new confidence in the staff and benefit from the extra time they spend with medical experts.

 

Another great bonus to having an EMR system in your practice is the ability to tailor it to your own business needs. This may well enable you to redefine your business in ways that you would have considered impossible. It also allows you to tailor it more to your patients’ needs which can speed up processes and cut back on things like typing. These time-saving elements not only save on expenses but also mean you or your staff get more time doing what you were originally trained for and that is looking after your patients.

Most EMR systems will allow you to create evaluation profiles and this can help eliminate simple mistakes like adding information twice.

 

Any better patient relationship building is likely to happen with honest communication. Patients will judge you on how well they have been treated on both a personal level and in a medical sense. This technology allows it all to happen in a seamless fashion.  As you enter personal and medical data into the system (something that would have been done when the patient was not there before) you can interact with the patient and include them in the whole process. This becomes a much more personal service and is likely to build a solid rapport with the client. Your work with the patient will be at your fingertips and you will be able to interact with the patient in a way that was not possible before. Patient confidence will quickly grow.

 

Working with Electronic medical record software can certainly finetune the business and create better patient relationships. It’s worth the effort and will create a new aspect of the central business.

What Are the Benefits of Health Information Exchange?

Health Information Exchange

The use of online health information exchange systems is transforming the way healthcare providers operate. Everyone benefits from using shared information and this is easily accessed by healthcare employees but, it has a built-in safety to protect security. It is very important that everyone who is involved in a patient’s care has access to the same information and this eliminates potential mistakes. It also ensures that everyone is informed as to the latest tests, results or future diagnostic tests. From this alone, it’s easy to see why this streamlined approach to patient care is attracting more and more healthcare providers as they quickly recognize the benefits to their own business practice in respect of time-saving, running cost reduction, and a higher level of patient care.

 

There many more benefits of using a health information exchange:

 

  • Easily track a patient’s complete medical history
  • Reduce medical errors
  • Encourages patients to interact with their own health care
  • Allows important decisions to be made with confidence
  • Reduces paperwork and increases overall efficiency

 

Health information exchange benefits can be experienced all the way through the whole medical healthcare practice and beyond as it efficiently provides information exactly where it is needed and reduces costs and time. Patients realize that the medical center is taking a progressive approach to health and all business functions and is reinvesting into the business, as a result, they feel confident. This confidence is typically felt through the entire business and makes all roles easier to operate generally.

 

Another major benefit is the ability to create a far easier way to obtain feedback. Older systems did not provide this benefit in the same way and communication was weaker. If you invest in this technology, you know that communication is enhanced and there is a kind of completeness about it because everyone is interconnected through business processes and patient care.

 

Appointment reminders can be sent directly to the patient helping to reduce missed or forgotten appointments and prescriptions can be sent directly to the pharmacies. This alone saves time and costs where it is needed the most. As more providers and other areas within healthcare adopt these types of technology, there will be a greater spread of interaction with targeted and up-to-date information which will create continuity throughout the whole health care system. These benefits will continue to grow as a network of providers make the obvious decision to join.

 

Less time more carefully.

 

Your medical practice and your patients are certainly going to benefit. Even the reduction of form filling allows more time for actual patient care to take place. As a result, your patients will feel that the service you provide is more personalized to their needs and requirements. This kind of health care clearly stands out from other practices that do not yet use it. Word of mouth, after all, is a very effective marketing technique and you will gain new patients as a result.

 

A practice that uses the health information exchange system becomes more efficient very quickly in both patient care and with reduced costs. This creates a better working environment as healthcare workers right down the line have more confidence in a system that provides what is needed straight to their fingertips.

Why Using a Medical Billing Company Will Produce Additional Profit?

Using a Medical Billing Company

Using a reliable and proven medical billing company can quickly and efficiently turn a medical practice into a profitable business. At the same time, the benefits can extend to the patients’ too increasing confidence and provide reassurance. With technology improving considerably, this is now being considered a must-do operation by many US medical practices.

 

What exactly is medical billing?

 

Medical billing is an interaction between the healthcare provider and the insurance company. This can be a time consuming and complex procedure. It’s easy to make mistakes as many medical practices have experienced first-hand. Any small changes that have not been noted or any tiny errors can be costly and hold up a claim. This can result in frustrated patients and lead to long delays trying to solve these issues which will impact other areas of service. The reputation of the healthcare service is at stake and this is why so many healthcare providers look to outsource medical billing these days.

Eliminate mistakes

 

By using a trusted medical billing company, you take the pressure off the practice. A good medical billing company will know exactly what they are doing as this is their sole business. This is a complex industry, and these are professionals in their field of expertise. Mistakes can be expensive, and by ensuring you have professional systems in place and backed by professional, well-trained people, this eliminates the stress on a day to day basis.

 

A medical billing company will also be on top of any legislative changes in a way that a medical practice might not. Again, this is an area that can be very expensive if any new changes are not adhered to. By eliminating these potential risks, you allow the practice to concentrate on what it does best which is patient care. Improved cash flow and reduced overheads allow growth and higher profits.

 

A proven medical billing company will already have a good understanding as to the long-term medical benefits achievable by any medical practice and will know how to implement them in a very efficient manner. This long-term plan will encompass growth and a fine-tuned approach to where it matters the most. A good medical billing company can accelerate productivity and increase profits which benefits the whole practice. It does this by reducing overall running costs and creates a tight efficient business blueprint which the practice can come to rely on. There will be customized options instead of generic data which can save in-house medical staff a great deal of time searching other resources. You gain easy system API, Regular updates and fast turnaround times and all this leads to an efficient service.

 

What should a medical center look for in a medical billing company and what are the advantages?

 

  • Ways to increase patient confidence
  • Ways in which to reduce overall running costs
  • To be able to detect where cash flow can be increased
  • To improve overall efficiency
  • To accelerate productivity
  • To have a vision of the long-term benefits to the company

 

A serious advantage to any business is an increase in cash flow as this can absorb unexpected shortfall problems and act as a buffer when sudden demands are called for. By outsourcing to a reliable medical billing company, you eliminate training needs but gain valuable expertise, speed, and efficiency at a whole new level.

Your Radiology Practice and Quality of Care

Radiologists and radiology practices are a critical component in medical diagnosis and treatment. In other words, radiology findings can save lives. Unfortunately, despite efforts, radiology report documentation does not adhere to a fixed standard. This may make analysis of incidental findings quite difficult.

To solve this problem, radiology practices need an integrated clinical analytics system, that can achieve the following –

  • determine the significant findings for communication
  • deliver findings to patients and doctors
  • track whether the patient returns as recommended and repeats the follow-up cycle, if required
  • track the results of follow-ups for comparison and action

Creating such an analytics system can offer several benefits including good patient care and building practice value. It also allows radiologists to connect with patients such that it presents diagnostic imaging providers as proactive leaders of patient health. It also raises the role of the radiology in optimizing quality of care within the overall health system.

Leading radiology billing services, such as Emerald Health, help you achieve maximum revenue and profitability so that you can focus on initiatives to improving patient care without making compromises. The 24/7 radiology billing service can fast-track your claims to get you get paid at least three times faster, prioritizing you’re the financial health of your practice.

To learn more or to take advantage of the radiology billing services offered by a specialized radiology billing company, call Emerald Health LLC at 855-650-9906 Today. Emerald’s radiology and physician billing services include comprehensive, reliable and complete RCM management.

What Are the Benefits of Health Information Exchange?

The use of online health information exchange systems is transforming the way healthcare providers operate. Everyone benefits from using shared information and this is easily accessed by healthcare employees but, it has a built-in safety to protect security. It is very important that everyone who is involved in a patient’s care has access to the same information and this eliminates potential mistakes. It also ensures that everyone is informed as to the latest tests, results or future diagnostic tests. From this alone, it’s easy to see why this streamlined approach to patient care is attracting more and more healthcare providers as they quickly recognize the benefits to their own business practice in respect of time-saving, running cost reduction, and a higher level of patient care.

 

Benefits of Health Information Exchange

There many more benefits of using a health information exchange today.

  • Easily track a patient’s complete medical history
  • Reduce medical errors
  • Encourages patients to interact with their own health care
  • Allows important decisions to be made with confidence
  • Reduces paperwork and increases overall efficiency

 

Health information exchange benefits can be experienced all the way through the whole medical healthcare practice and beyond as it efficiently provides information exactly where it is needed and reduces costs and time. Patients realize that the medical center is taking a progressive approach to health and all business functions and is reinvesting into the business, as a result, they feel confident. This confidence is typically felt through the entire business and makes all roles easier to operate generally.

 

Another major benefit is the ability to create a far easier way to obtain feedback. Older systems did not provide this benefit in the same way as communication was weaker. If you invest in this technology, you know that communication is enhanced and there is a kind of completeness about it because everyone is interconnected through business processes and patient care.

 

Appointment reminders can be sent directly to the patient helping to reduce missed or forgotten appointments and prescriptions can be sent directly to the pharmacies. This alone saves time and costs where it is needed the most. As more providers and other areas within healthcare adopt these types of technology, there will be a greater spread of interaction with targeted and up-to-date information which will create continuity throughout the whole health care system. These benefits will continue to grow as a network of providers make the obvious decision to join.

 

Less Time More Care

Your medical practice and your patients are certainly going to benefit. Even with the reduction of form filling allows more time for actual patient care to take place. As a result, your patients will feel that the service you provide is more personalized to their needs and requirements. This kind of health care clearly stands out from other practices that do not yet use it. Word of mouth, after all, is a very effective marketing technique and you will gain new patients as a result.

A practice that uses the health information exchange system becomes more efficient very quickly in both patient care and with reduced costs. This creates a better working environment for health care workers right down the line have more confidence in a system that provides what is needed straight to their fingertips.